Application and Outcomes of Treatment Guidelines in a Utilization Review Program

作者：Stockbridge Hal^*; d'Urso Nikki

来源：Physical Medicine and Rehabilitation Clinics of North America, 2015, 26(3): 445-+.

DOI：10.1016/j.pmr.2015.04.011

• Treatment guideline
• Clinical practice guideline
• Workers' compensation
• Utilization review
• Utilization management
• Cost containment
• Quality of care
• Clinical outcomes

The value of treatment guidelines in improving outcomes for patients and controlling costs is significantly enhanced in Washington by incorporating guidelines into a structured UR program. This article describes: (1) how the Washington Department of Labor and Industries (L&I) UR program uses guidelines; and (2) the impact of the UR program on costs and outcomes. The impact of guideline implementation in the Washington program is considerable. In 2014, the L&I program produced net savings of $7,519,823, and the return on investment was approximately $2.00. The impact on clinical outcomes includes an overarching effect from use of' best practices.

• 出版日期2015-8